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Nursing Student Evaluation Form Template

Streamline Your Feedback Process with Our Nursing Evaluation Form

Gathering feedback can be challenging, especially in nursing education where clear communication is vital. This Nursing Student Evaluation Form Template is designed for educators and institutions wanting to assess classroom experiences effectively. With this template, you can collect valuable insights on teaching methods, course content, and student engagement, enhancing your curriculum and instructional strategies. Effortlessly customize it to suit your specific requirements, keep your evaluations compliant with privacy standards, and empower your students to voice their opinions. Explore the live template to start improving your evaluation process today.

Student full name
Student ID or number
Program and year (e.g., BSN Year 2)
Clinical site and unit/department
Placement start date
Placement end date
Evaluator full name
Evaluator role
Clinical preceptor
Faculty instructor
Charge nurse
Unit educator
Other
Please Specify:
Shift pattern (select all that apply)
Days
Evenings
Nights
Rotating
Weekends
Clinical knowledge appropriate to level
Poor
Below average
Average
Good
Exceptional
Clinical reasoning and judgment
Poor
Below average
Average
Good
Exceptional
Patient assessment skills (subjective and objective)
Poor
Below average
Average
Good
Exceptional
Technical/psychomotor skills and procedures
Poor
Below average
Average
Good
Exceptional
Medication administration accuracy and safety practices
Poor
Below average
Average
Good
Exceptional
Infection prevention and control
Poor
Below average
Average
Good
Exceptional
Documentation accuracy, timeliness, and completeness
Poor
Below average
Average
Good
Exceptional
Communication with patients and families
Poor
Below average
Average
Good
Exceptional
Communication with interprofessional team
Poor
Below average
Average
Good
Exceptional
Teamwork and collaboration
Poor
Below average
Average
Good
Exceptional
Professionalism, ethics, and respect
Poor
Below average
Average
Good
Exceptional
Time management and organization
Poor
Below average
Average
Good
Exceptional
Adheres to safety protocols and policies
Yes
No
Required supervision level at current stage
Direct supervision at all times
Intermittent supervision
Independent with readily available supervision appropriate to level
Attendance and punctuality
Poor
Below average
Average
Good
Exceptional
Overall performance
Poor
Below average
Average
Good
Exceptional
Likelihood to meet course/placement objectives by end of rotation
Very unlikely
Unlikely
Neutral
Likely
Very likely
Recommend continuation/progression at this time
Yes
No
Areas of strength (brief examples)
Areas for development (brief examples)
Specific goals or focus areas for next shift/week
If incidents or concerns, provide a brief description (do not include PHI beyond policy)
Any incidents or concerns to report
Yes
No
Total clinical hours completed this period
Student signature (type full name)
Student signature date
Evaluator signature (type full name)
Evaluator signature date
Student acknowledges this feedback was discussed
Strongly disagree
Disagree
Neither
Agree
Strongly agree
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Paper art illustration highlighting a nursing student evaluation form template with checkboxes and notes sections.

When to use this form

Use this form during mid-rotation check-ins, end-of-clinical evaluations, and simulation debriefs. Clinical instructors and preceptors use it to document hands-on skills, critical thinking, and professionalism. Program leads compare cohorts and flag support needs. Students get clear, actionable feedback and a focused plan. Example scenarios: week 3 of a med-surg placement to verify safe medication practice; after a high-acuity shift to review prioritization; before capstone sign-off to confirm readiness. If you also track broader course outcomes, pair this with the Student performance evaluation form. For faculty-to-instructor alignment, reference the Teachers assessment form.

Must Ask Nursing Student Evaluation Questions

  1. Which core clinical skills did the student perform independently, and which still required supervision?

    This separates proven competency from simple exposure and guides safe assignment planning. It also shows where targeted practice or remediation will have the biggest impact.

  2. Describe one patient case where the student prioritized care, including the rationale and outcome.

    A concrete scenario reveals clinical judgment under pressure and links actions to patient results. It surfaces specific teachable moments you can revisit in the next shift or rotation.

  3. How accurate and timely were the student's documentation and SBAR handoffs?

    Clear charting and communication prevent errors and build team trust. If you track related coursework, align these observations with the Academic performance questionnaire form to connect theory and practice.

  4. What medication safety behaviors did you observe (five rights, barcode scanning, allergy checks)?

    Detailing safety behaviors confirms reliability in high-risk tasks. Specific examples help you coach toward independent medication passes.

  5. What is the student's top strength, and what is one measurable goal for the next placement?

    Highlighting a clear strength builds confidence and informs assignments. A single SMART goal keeps improvement focused and easy to track.

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